Individual
JAKELINE XOCHITL MERINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14527 RICHMOND HWY, WOODBRIDGE, VA 22191-2817
(703) 497-1234
Mailing address
14527 RICHMOND HWY, WOODBRIDGE, VA 22191-2817
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
RN1030585
DC
363LF0000X
Family Nurse Practitioner
Primary
0024177962
VA
Other
Enumeration date
10/24/2019
Last updated
07/07/2023
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